<div class="request-popup popup-wrapper">
	<div class="popup new-item-request-popup">
		<div classs="main">
			<div class="form-item-container"><label class="label">Referencia:</label><input id="reference" type="text" class="value" value=""></input></div>
			<div class="form-item-container"><label class="label">Nombre:</label><input id="name" type="text" class="value" value="" /></input></div>
			<div class="form-item-container"><label class="label">Comentario:</label><input id="comment" type="text" class="value" value="" />
			<div class="form-item-container"><label class="label">Administrador:</label><select id="admin">
				@foreach($admins as $admin)
					<option value="{{$admin->pk}}">{{$admin->getFullName()}}</option>
				@endforeach
			</select></div>
		</div>
		<div class="options"><a href="#" class="cancel-btn">Cancelar</a></div>
		<div class="options"><a href="#" class="send-btn">Enviar</a></div>
	</div>
</div>